KMID : 0816120130160010049
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Korean Journal of Pediatric Gastroenterolology and Nutrition 2013 Volume.16 No. 1 p.49 ~ p.52
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Congenital Antral Web in Premature Baby
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Nam So-Hyun
Koo Soo-Hyun Chung Mi-Lim Jung Yu-Jin Lim Yun-Jung
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Abstract
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Antral web is a rare cause of gastric outlet obstruction in neonate. It is a 2-4 mm thin mucous membrane that can be found anywhere from 1 to 7 cm proximal to the pylorus. The baby was born at gestational age of 32+1 weeks with 1,880 g as 2nd baby of dizygotic twin. After birth, the baby had constant non-bilious vomiting without feeding while he didn¡¯t show abdominal distension or discoloration. The infantogram showed distended stomach with distal small bowel gas. Upper gastrointestinal series revealed that the antrum was abruptly narrowed at 1 cm proximal to pylorus. We performed laparotomy at the 10th day after birth and excised the 2 mm-thick web circumferentially. He began milk feeding after 6 days and discharged uneventfully at postoperative 35 days with corrected age of 38+4 weeks with body weight 2,420 g. The antral web should be considered in the case of non-bilious vomiting in neonate.
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KEYWORD
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Gastric outlet obstruction, Antrum, Web, Vomiting
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